Organization Active NPI

Wisconsin Heights School District

  • Local Education Agency (LEA)
  • Mazomanie, WI
National Provider Identifier
1336314822
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WISCONSIN HEIGHTS SCHOOL DISTRICT
Practice address
10173 Hwy 14
Mazomanie, WI 53560
Phone
(608) 767-2595
Fax
(608) 767-3579
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Larry Black
Title
District Administrator
Phone
(608) 767-2595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

10173 Hwy 14
Mazomanie, WI 53560

Mailing address

10173 Hwy 14
Mazomanie, WI 53560
Phone (608) 767-2595

Other identifiers 1

IdentifierTypeStateIssuer
44223300MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1336314822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10173 HWY 14",
            "city": "MAZOMANIE",
            "state": "WI",
            "postal_code": "53560",
            "telephone_number": "608-767-2595",
            "fax_number": "608-767-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10173 HWY 14",
            "city": "MAZOMANIE",
            "state": "WI",
            "postal_code": "53560",
            "telephone_number": "608-767-2595",
            "fax_number": "608-767-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN HEIGHTS SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "608-767-2595"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44223300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mazomanie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.